<div class="box box-primary" xmlns:th="http://www.thymeleaf.org">
	<div class="box-header with-border">
		<h3 class="box-title">转诊</h3>
	</div>
	<form id="tranForm" class="form-horizontal">
		<input id="type" type="hidden" th:value="${type}"/>
		<input id="pId" type="hidden" th:value="${pId}"/>
		<div class="box-body">
			<div class="form-group">
				<label for="assign_hid" class="col-md-2 control-label">医院名称<span class="colorred">*</span>：</label>
				<div class="col-md-4">
					<select id="assign_hid" name="assign_hid" bindname="assign_hid"></select>
				</div>
			</div>
			<div class="form-group">
				<label for="assign_did" class="col-md-2 control-label">科室名称<span class="colorred">*</span>：</label>
					<div class="col-md-4">
						<select id="assign_did" name="assign_did" bindname="assign_did"></select>
					</div>
			</div>
			<div class="form-group">
				<label for="transfer_type" class="col-md-2 control-label">转诊类型<span class="colorred">*</span>：</label>
					<div class="col-md-4">
						<select id="transfer_type" name="transfer_type" bindname="transfer_type"></select>
					</div>
			</div>
			<div class="form-group">
				<label for="reason" class="col-md-2 control-label">转诊原因
				</label>
				<div class="col-md-8">
					<textarea id="reason" class="form-control" rows="4"  name="reason" bindname="reason" maxlength="250" placeholder="转诊原因最多可输入250字  ..."></textarea>
				</div>
			</div>
			<div class="form-group">
				<label for="remark" class="col-md-2 control-label">转诊说明
				</label>
				<div class="col-md-8">
					<textarea id="remark" class="form-control" rows="4"  name="remark" bindname="remark" maxlength="250" placeholder="转诊说明最多可输入250字  ..."></textarea>
				</div>
			</div>
		</div>
		<div class="box-footer">
			<button id="cancel" type="button" class="btn btn-default pull-right">取消</button>
			<button id="save" type="button" class="btn btn-info pull-right mr30">确认转诊</button>
		</div>
	</form>
</div>
<script th:if="${projectModel=='dev'}" th:src="@{/static/js/business/transfer/tran.js(v=${#dates.createNow().getTime()})}"></script>
<script th:if="${projectModel=='product'}" th:src="@{/static/js/business/transfer/tran.js}"></script>